376614247-5-10-2023-20-CC-CGRY-CS7UXA-20230526155757

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376614247
Report Date: 05/10/2023
Date Signed: 05/10/2023 03:32:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/28/2023 and conducted by Evaluator Adrian Castellon

COMPLAINT CONTROL NUMBER: 20-CC-20230228140218

FACILITY NAME:	CAMARENA, CEFERINA FAMILY CHILD CARE		FACILITY NUMBER:	376614247
ADMINISTRATOR:	CAMARENA, CEFERINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 210-3555
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	14	CENSUS: 10	DATE:	05/10/2023
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Ceferina Camarena		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Licensee is operating outside of license terms and conditions

Day care child was restrained

Day care child sustained injuries due to lack of supervision

Day care child's diapering needs were not met

INVESTIGATION FINDINGS:

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On 5/10/23 at 2:00pm, Licensing Program Analyst (LPA) Adrian Castellon conducted an unannounced inspection to deliver complaint findings for the above allegations. LPA Castellon met licensee Ceferina Camarena and discussed the purpose of the inspection. It was alleged that: Licensee is operating outside of license terms and conditions, Day care child was restrained, Day care child sustained injuries due to lack of supervision, and Day care child's diapering needs were not met. During the course of the investigation, two unannounced inspections were conducted. Interviews were conducted with day-care parents and facility staff. LPA attempted to interview children. LPA Castellon could not interview the reporting party. LPA Castellon could not corroborate the allegations.
Due to conflicting statements obtained during the course of the investigation, the above allegation is deemed to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged allegation occurred. A copy of today's report, Notice of Site Visit and appeals rights given to the licensee. An exit interview was conducted with facility director and she stated that she understood. Notice of Site Visit should be posted for 30 days from today's date.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Cynthia Gray	TELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian Castellon	TELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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